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目的:探讨同型半胱氨酸与中青年复发脑梗死的相关性。方法:对240例中青年脑梗死患者分组并测定同型半胱氨酸水平,并与对照组进行对比研究。结果:同型半胱氨酸血症发生率在中青年复发脑梗死组、中青年首发脑梗死组及健康对照组之间有统计学意义(P<0.01),同型半胱氨酸水平与中青年复发脑梗死具有显著相关性(P<0.01),与糖尿病、血脂等其他观察指标相关性无统计学意义(P>0.01)。结论:同型半胱氨酸水平与中青年脑梗死的发病有密切关系,是中青年复发脑梗死的独立危险因素。
Objective: To investigate the correlation between homocysteine and recurrent cerebral infarction in middle and young adults. Methods: 240 cases of young and middle-aged patients with cerebral infarction were divided into groups and measured homocysteine levels, compared with the control group. Results: The incidence of homocysteine was statistically significant between young and middle-aged recurrent cerebral infarction group, young and middle-aged first cerebral infarction group and healthy control group (P <0.01) There was a significant correlation between recurrent cerebral infarction (P <0.01) and other indexes such as diabetes and blood lipids (P> 0.01). Conclusion: Homocysteine level is closely related to the onset of middle-aged and young cerebral infarction and is an independent risk factor for recurrent cerebral infarction in middle-aged and young adults.